Reported by 4 hospitals in the network under the other methodology.
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
Low
$160
Average
$240
Median
$244
High
$312
| # | Hospital | Location | Approximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price. | |||||
|---|---|---|---|---|---|---|---|---|
| 1 | Wellington Regional Medical Center | Wellington, FL | $277 | $312 | $66 | — | $238 | $414 |
| 2 | Adventist Health Delano | Delano, CA | $122 | $160 | $53 | — | $24 | $705 |
| 3 | Nebraska Medical Center | Omaha, NE | $202 | $244 | $105 | — | $55 | $522 |
| 4 | Bellevue Medical Center Llc | Bellevue, NE | $202 | $244 | $105 | — | $55 | $522 |
Ask Claude or any MCP client for HCPCS 81109 pricing at a specific hospital — see how to connect.